Beck Depression Inventory-II Response Following Parathyroidectomy for Primary Hyperparathyroidism: A Systematic Review and Meta-Analyses.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-11-27 DOI:10.1002/hed.28003

Om S Chitnis, Sabrina K Wagner, J Joseph Caraway, Nora L Watson, Rhonda J Allard, Michael I Orestes

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Abstract

Background: There is currently a lack of consensus regarding neuropsychiatric symptoms as an indication for parathyroidectomy in primary hyperparathyroidism (pHPT). The purpose of this study is to perform a systematic review and meta-analyses of pre- and postoperative Beck Depression Inventory-II (BDI-II) scores in patients with pHPT undergoing parathyroidectomy.

Methods: A search of the literature was performed using Embase, PubMed, Web of Science, PsycINFO, and OvidAll EBM Reviews. Studies were included if they evaluated BDI-II scores in pHPT patients before and after parathyroidectomy.

Results: The literature search returned 1554 studies, of which nine articles met criteria for inclusion. Baseline BDI-II scores were significantly higher in pHPT patients compared to control patients. pHPT patients experienced a statistically significant decrease in BDI-II scores at ≤ 1 and 6 months postoperatively.

Conclusions: Based on the results of this study, a BDI-II score ≥ 14 could potentially advocate for parathyroidectomy in patients with pHPT.

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原发性甲状旁腺功能亢进症甲状旁腺切除术后的贝克抑郁量表-II 反应：系统回顾与元分析》。

背景：关于神经精神症状作为原发性甲状旁腺功能亢进症（pHPT）甲状旁腺切除术的适应症，目前尚缺乏共识。本研究旨在对接受甲状旁腺切除术的pHPT患者术前和术后的贝克抑郁量表-II（BDI-II）评分进行系统回顾和荟萃分析：使用Embase、PubMed、Web of Science、PsycINFO和OvidAll EBM Reviews进行文献检索。对甲状旁腺切除术前后 pHPT 患者的 BDI-II 评分进行评估的研究均被纳入：文献检索共检索到 1554 项研究，其中 9 篇符合纳入标准。与对照组患者相比，pHPT患者的基线BDI-II评分明显较高。术后≤1个月和6个月时，pHPT患者的BDI-II评分出现了统计学意义上的显著下降：根据这项研究的结果，BDI-II评分≥14分的pHPT患者可能需要进行甲状旁腺切除术。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.